Yes, FTM individuals can pursue fertility options after starting hormone therapy. There are a number of different options available, including:

  • Cryopreservation: Cryopreservation is the process of freezing sperm or eggs for future use. This is a good option for FTM individuals who want to preserve their fertility before starting hormone therapy.
  • In vitro fertilization (IVF): IVF is a process in which eggs are fertilized with sperm in a laboratory. This is a good option for FTM individuals who want to have biological children with a partner.
  • Surrogacy: Surrogacy is a process in which a woman carries a pregnancy for another person. This is a good option for FTM individuals who want to have biological children but cannot carry a pregnancy themselves.

It is important to talk to a doctor about your fertility options before starting hormone therapy. They can help you assess your individual needs and recommend the best option for you.

Here are some additional resources that you may find helpful:

  • The National Center for Transgender Equality: The National Center for Transgender Equality (NCTE) has a guide on fertility for transgender people.
    National Center for Transgender Equality logoOpens in a new windowtransequality.org
  • Trans Lifeline: Trans Lifeline is a 24/7 hotline that provides support and resources to transgender people. They can help you find resources on fertility for transgender people.
  • The Trevor Project: The Trevor Project is a national organization that provides crisis intervention and suicide prevention services to LGBTQ+ youth. They have a list of resources on fertility for transgender people.

It is important to note that the cost of fertility options can vary depending on the type of procedure and the location. It is also important to factor in the cost of medications and other associated costs.

If you are considering fertility options, it is important to start planning early. This will give you time to research your options and find a provider who is experienced in working with transgender people.

FTM (female-to-male) individuals who have started hormone therapy may experience changes in their fertility. Testosterone therapy, which is commonly used in FTM hormone therapy, can affect reproductive function. However, it’s important to note that the impact on fertility can vary among individuals. Here are some considerations regarding fertility options for FTM individuals after starting hormone therapy:

  1. Egg Freezing: For individuals who wish to preserve their fertility before starting hormone therapy, egg freezing (oocyte cryopreservation) can be an option. This involves retrieving eggs, freezing them, and storing them for future use. It’s important to discuss this option with a reproductive specialist before starting hormone therapy, as the process typically requires ovarian stimulation, which may be impacted by hormone therapy.
  2. Sperm Banking: FTM individuals who have not undergone a hysterectomy and still have intact reproductive organs can consider sperm banking. Sperm banking involves providing a sperm sample that is frozen and stored for later use in assisted reproductive techniques such as intrauterine insemination (IUI) or in vitro fertilization (IVF).
  3. Pausing Hormone Therapy: If fertility preservation is a priority, some individuals choose to temporarily pause hormone therapy to allow for the recovery of reproductive function. This decision should be made in consultation with a healthcare provider experienced in transgender healthcare. It’s important to note that the duration of the pause and the extent of fertility recovery can vary among individuals.
  4. Adoption or Surrogacy: FTM individuals who are unable to conceive genetically or prefer alternative options can consider adoption or surrogacy as a means of building a family. These options allow individuals to become parents without a biological connection to the child.
  5. Future Fertility Assessments: If fertility is a concern for FTM individuals, it’s advisable to consult with a reproductive specialist who can provide a comprehensive evaluation of fertility status and discuss potential options. This may include assessments such as hormone level testing, semen analysis (for those who have not undergone a hysterectomy), or other fertility-related evaluations.

It’s important to note that every individual’s fertility journey is unique, and options may vary depending on personal circumstances, regional regulations, and available resources. Consulting with healthcare professionals specializing in transgender healthcare and reproductive medicine can provide personalized guidance and support in navigating fertility options after starting hormone therapy